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Provider 1083743538

NPI: 1083743538Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.8M

$13,764,784

Total Claims

783K

Beneficiaries

678K

1.2 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+18%
2019
$1.5M
+30%
2020
$2.0M
+30%
2021
$2.5M
-9%
2022
$2.3M
-7%
2023
$2.1M
-5%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 24% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$3.4M

189K claims · 24.4%

Your Cost: $17.75/claim|Median: $37.81
0.5× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1.2M

67K claims · 8.5%

Your Cost: $17.64/claim|Median: $53.41
0.3× median
G9011Top 25%

$710K

8,390 claims · 5.2%

Your Cost: $84.58/claim|Median: $39.92
2.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$683K

9,292 claims · 5.0%

Your Cost: $73.48/claim|Median: $74.82
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$578K

23K claims · 4.2%

Your Cost: $24.99/claim|Median: $24.34
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$462K

10K claims · 3.4%

Your Cost: $45.24/claim|Median: $69.35
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$446K

9,016 claims · 3.2%

Your Cost: $49.43/claim|Median: $75.18
0.7× median
D1120Normal range

Prophylaxis, adult

$396K

14K claims · 2.9%

Your Cost: $27.96/claim|Median: $33.86
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$371K

5,180 claims · 2.7%

Your Cost: $71.59/claim|Median: $80.15
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$350K

8,461 claims · 2.5%

Your Cost: $41.38/claim|Median: $32.07
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$349K

7,285 claims · 2.5%

Your Cost: $47.95/claim|Median: $71.00
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$324K

8,835 claims · 2.4%

Your Cost: $36.67/claim|Median: $43.38
0.8× median
D1206Normal range

Topical application of fluoride varnish

$323K

27K claims · 2.3%

Your Cost: $12.01/claim|Median: $18.12
0.7× median
G9001Top 25%

$301K

2,432 claims · 2.2%

Your Cost: $123.68/claim|Median: $53.98
2.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$257K

21K claims · 1.9%

Your Cost: $12.17/claim|Median: $7.18
1.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$244K

6,989 claims · 1.8%

Your Cost: $34.97/claim|Median: $54.60
0.6× median
D1354Normal range

$192K

16K claims · 1.4%

Your Cost: $11.72/claim|Median: $12.52
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$186K

36K claims · 1.4%

Your Cost: $5.10/claim|Median: $7.33
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$185K

22K claims · 1.3%

Your Cost: $8.41/claim|Median: $10.51
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$168K

5,536 claims · 1.2%

Your Cost: $30.35/claim|Median: $41.28
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$164K

4,783 claims · 1.2%

Your Cost: $34.24/claim|Median: $27.07
1.3× median
D1351Normal range

Sealant, per tooth

$140K

8,160 claims · 1.0%

Your Cost: $17.10/claim|Median: $26.10
0.7× median
D0330Normal range

Panoramic radiographic image

$130K

6,275 claims · 0.9%

Your Cost: $20.76/claim|Median: $37.36
0.6× median
D0274Normal range

Bitewings, four radiographic images

$118K

9,907 claims · 0.9%

Your Cost: $11.94/claim|Median: $22.54
0.5× median
G9012Normal range

Other specified case management service, per 15 minutes

$107K

2,173 claims · 0.8%

Your Cost: $49.04/claim|Median: $137.85
0.4× median
90688Normal range

$103K

8,535 claims · 0.8%

Your Cost: $12.11/claim|Median: $9.00
1.3× median
90670Top 25%

$99K

6,015 claims · 0.7%

Your Cost: $16.38/claim|Median: $5.94
2.8× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$85K

1,034 claims · 0.6%

Your Cost: $82.20/claim|Median: $57.39
1.4× median
D0272Normal range

Bitewings, two radiographic images

$77K

7,241 claims · 0.6%

Your Cost: $10.60/claim|Median: $15.81
0.7× median
D4910Normal range

$74K

2,306 claims · 0.5%

Your Cost: $32.22/claim|Median: $75.56
0.4× median
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